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Vol. 16 No. 4 (2024)
DOI: 10.59987/ads/2024.4.250-255
Articles
2025-01-28

Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review

Authors

Francesca Romana Federici, Giacomo D’Angeli, Gianluca Pingitore, Alessio Riccardi, Valentina Vannini, Alessandro Corsi, Giovanni D’Erme

Keywords: Fungal rhinosinusitis, Fungus ball, Endodontic treatment, Odontogenic sinusitis, Endoscopic sinus surgery

Abstract

Fungus ball (FB) is a non-invasive mycosis typically found in the paranasal sinuses, predominantly the maxillary sinus. This case report describes the diagnosis and treatment of a recurrent maxillary FB in a 58-year-old patient, managed through Functional Endoscopic Sinus Surgery (FESS) combined with an intraoral approach. The patient presented with chronic unilateral nasal obstruction and recurrent sinusitis, with imaging studies revealing a heterogeneous mass in the left maxillary sinus. Histopathological examination confirmed the presence of a fungal ball. FESS was utilized to ensure minimal invasiveness and precision in removing the fungal mass while preserving normal sinus anatomy. The intraoral approach facilitated the direct access to the maxillary sinus, to complete the debridement required after recurrence from the first line FESS treatment. Postoperative follow-up showed significant symptomatic relief and no recurrence of the fungal ball. This case highlights the efficacy of combining FESS with an intraoral approach in treating maxillary fungal balls recurrence, emphasizing the importance of a tailored surgical strategy to achieve optimal Results. The combined approach not only ensures complete removal of the fungal mass but also minimises complications and enhances patient recovery.

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Authors

Francesca Romana Federici - Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy

Giacomo D’Angeli - Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy

Gianluca Pingitore - Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy

Alessio Riccardi - Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy

Valentina Vannini - Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy

Alessandro Corsi - Department of Molecular Medicine, Sapienza University of Rome, Italy

Giovanni D’Erme - Department of Sense Organs, Sapienza University of Rome, Italy

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Authors contributing to Annali di Stomatologia agree to publish their articles under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which allows third parties to copy and redistribute the material providing appropriate credit and a link to the license but does not allow to use the material for commercial purposes and to use the material if it has been remixed, transformed or built upon.

How to Cite
Federici, . F. R. ., D’Angeli, G. ., Pingitore, G. ., Riccardi, . A. ., Vannini, . V. ., Corsi, . A. ., & D’Erme, . G. . (2025). Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review. Annali Di Stomatologia, 16(4), 250–255. https://doi.org/10.59987/ads/2024.4.250-255